Individual
KATHERINE HOUGLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 E 33RD ST, SUITE 233, BALTIMORE, MD 21218-3322
(410) 554-2696
Mailing address
6501 COPPER RIDGE DR APT T1, BALTIMORE, MD 21209-2349
(301) 980-2192
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R177864
MD
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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